病人男,66岁。口中有肉状物吐出3年入院。有时吐出舌状异物达口腔外,可回纳,不伴吞咽困难。术前消化道造影和胸部CT见食管全程扩张明显,内有充盈缺损,增强后管腔内异常影强化明显(图1)。电子胃镜下见食管变形,食管上段(距门齿17cm)起至食管下段黏膜向下牵拉变形,形成一条索状新 Patient male, 66 years old. Mouth flesh spit out 3 years admitted. Sometimes vomiting Tongue foreign body up to the mouth, can be recalled, without swallowing difficulties. Preoperative gastrointestinal angiography and chest CT see esophageal expansion of the entire obvious, there are filling defect, increased enhancement of abnormal shadow in the lumen (Figure 1). Electronic gastroscopy see esophageal deformation, the upper esophagus (from the incisors 17cm) down to the lower esophagus mucosa pull down deformation, the formation of a cord-like